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PREMIERCARE MEDICAL CLINIC
NPI 1346898418
Nurse Practitioner in Mesquite, TX

Active since August 30, 2019CLIA 45D2179438 · Waiver
6500 NORTHWEST DR STE 350, MESQUITE, TX 75150(972) 373-4191(972) 373-4569 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 25, 2022, Aug 30, 2019 (2 updates tracked since 2019).

About Premiercare Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIERCARE MEDICAL CLINIC (NPI 1346898418) is a healthcare organization registered as a nurse practitioner in Mesquite, Texas and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through February 23, 2028 and lists Ekeoma I. Cooper, Dnp, as its authorized official.

NPPES Registry Identity

NPI1346898418
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NamePREMIERCARE MEDICAL CLINIC
Location Address6500 NORTHWEST DR STE 350Mesquite, TX 75150-1364
Mailing Address6500 Northwest Dr Ste 350Mesquite, TX 75150-1364 · (972) 373-4191 · Fax (972) 373-4569
Phone(972) 373-4191
Fax(972) 373-4569
Organization SubpartNo
Authorized OfficialEkeoma I. CooperDnp · (972) 373-4191
Enumeration DateAugust 30, 2019
Last NPPES UpdateMay 25, 20222 updates tracked since enumeration
NPPES CertifiedMay 25, 2022
✔ NPI 1346898418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
6500 NORTHWEST DR STE 350, Mesquite, TX 75150
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Other Identifiers 1

Medicaid408711601TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2179438

Premiercare Medical Clinic · Mesquite, TX
Active · expires Feb 23, 2028
CLIA Number45D2179438
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorEkeoma I. Cooper
Laboratory Phone(972) 544-1590
Laboratory LocationPremiercare Medical Clinic6500 Northwest Dr Suite 350, Mesquite, TX 75150
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TROSE HOME HEALTH CARE SERVICES LLC
Home Health
6500 NORTHWEST DR STE 350
MESQUITE, TX 75150
Dallas County (317) 213-2819
EKEOMA I COOPER
Nurse Practitioner (Gerontology)
6500 NORTHWEST DR STE 350
MESQUITE, TX 75150
Dallas County (972) 373-4191

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premiercare Medical Clinic's NPI number?

The NPI number for Premiercare Medical Clinic is 1346898418. It was assigned to this organization in the NPPES registry on August 30, 2019.

Where is Premiercare Medical Clinic located?

Premiercare Medical Clinic is located at 6500 Northwest Dr Ste 350, Mesquite, TX 75150. The listed phone number is (972) 373-4191.

What is Premiercare Medical Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Premiercare Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2179438) is associated with this NPI, valid through February 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premiercare Medical Clinic accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Premiercare Medical Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Premiercare Medical Clinic was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.